Author Question: A 34-year-old female patient complains of lack of conception after unprotected sexual intercourse ... (Read 132 times)

Beheh

  • Hero Member
  • *****
  • Posts: 520
A 34-year-old female patient complains of lack of conception after unprotected sexual intercourse for 1 year. The patient has been keeping track of basal body temperature to plot ovulation. Pelvic examination is normal.
 
  The clinician should ask the patient if which of the following laboratory test(s) have been done:
  A. TSH
  B. FSH
  C. LH
  D. All of the above

Question 2

To assess muscle tone, the clinician should:
 
  A. Palpate the patient's muscle as the muscle is passively stretched
  B. Examine how the patient performs active range of motion
  C. Palpate the muscles comparing side to side
  D. A and C



johnharpe

  • Sr. Member
  • ****
  • Posts: 338
Answer to Question 1

ANS: D
The work-up for infertility is complex and will need to be referred to a gynecologist specializing in infertility. The causes are numerous but generally fall into the categories of anovulation, implantation failure, hormonal failure, chromosomal abnormalities, or low sperm count in the male partner. Preliminary tests that can be initiated by the nurse practitioner include the following: pelvic examination to ensure that the cervix is open and that there are no uterine abnormalities, basal body temperature charts to plot monthly ovulation and menstrual patterns, and laboratory testing that includes TSH, FSH, LH, and estradiol.

Answer to Question 2

ANS: D
To assess muscle tone, passively stretch the muscle, ask the patient to relax, and then palpate the muscle, comparing side to side. Alternatively, assessment of muscle tone can be combined with a determination of the patient's resistance to passive movement. Tense patients, those with increased muscle tone, will have increased resistance to passive movements. Flaccid or hypotonic muscles do not have any palpable tension. A spastic muscle has increased resistance, which may vary as the limb is moved, as in cogwheeling, such as that found in patients with parkinsonism. Resistance with both flexion and extension is called lead-pipe rigidity, as is sometimes seen in parkinsonism.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

By definition, when a medication is administered intravenously, its bioavailability is 100%.

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Excessive alcohol use costs the country approximately $235 billion every year.

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

For a complete list of videos, visit our video library